Active NPI
Jacob Webb O'Dell, DPT
- Physical Therapist
- Morristown, TN
National Provider Identifier
1841645744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10754
- Practice address
- 2817 W Andrew Johnson Hwy
Morristown, TN 37814-3216 - Phone
- (423) 586-4810
- Fax
- (423) 586-4811
- NPI assigned
- Apr 28, 2016
- Last updated
- Apr 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10754 | TN | Primary |
Addresses
Primary practice location
2817 W Andrew Johnson Hwy
Morristown, TN 37814-3216
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10754 | TN | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461801600000",
"number": "1841645744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 W ANDREW JOHNSON HWY",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143216",
"telephone_number": "423-586-4810",
"fax_number": "423-586-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DELL",
"first_name": "JACOB",
"middle_name": "WEBB",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-28",
"last_updated": "2016-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "10754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.